An alloplastic spermatocele is implanted to obtain spermatozoa from the epididymis. It is known that, in an alloplastic spermatocele, spermatozoa deteriorate qualitatively and quantitatively as the time interval after implantation increases. 39 Kelâmi-Affeld alloplastic spermatoceles were implanted at the epididymal heads in minipigs. Castration and pathological-anatomical examination of the specimens were performed weeks to months after the operation. It became evident that fibrosis and granulation tissue in the area of the incised epididymal head with occlusion of the opened epididymal tubuli were the causes of aspermia developing in all cases. Apart from normal wound healing, there is additional formation of fibrosis and granulation tissue due to postoperative microbleeding and inflammatory reactions. It may be possible to reduce these complications by microsurgical techniques.
The value of the superparamagnetic contrast medium AMI-25 and its clinical acceptability was investigated in a phase-III-multicenter study. 18 patients with primary and secondary hepatic tumours were studied using T2- and T1-weighted spin-echo sequences, FATSAT sequences and FLASH-2-D-breathold sequences, both before and after intravenous application of AMI-25 (0.2 mmol GE/ml 15 mmol/kg KG in 100 ml 5% glucose infusion), using a 1.5 Tesla MRT (Magnetom 63 SP, Siemens). In 6 patients the MRT findings could be correlated with in vitro results within 30 minutes following surgical resection. In 8 patients a diagnosis of metastases was made. Amongst patients with primary liver tumours (FNH 6 cases, HCC 3 cases, adenomatosis 1 case) 3 of the 10 patients showed more lesions following the injection of contrast; similarly, in 4 patients of the 8 with secondary tumours contrast increased the number of visible lesions. The absence of contrast enhancement separated primary from secondary lesions. Amongst the patients with secondary liver tumours, in vitro correlation always showed more tumours than had been visualised whereas there was exact in vivo/in vitro correlation amongst patients with primary liver tumours.
Computed tomography allows visualisation of postoperative atelectasis reliably, even in the low-dose technique. Concordantly, additional therapeutically relevant side findings can be detected compared to conventional chest X-ray. Risky patient transport becomes unnecessary.
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